H.—l

18

List of Eegistbeed Societies, etc. — continued. XVI. Specially-authorized Societies — continued.

Eeg. No. 169. Grand Lodge of New Zealand of the Independent Order of Good Templars —Dunedin— continued. 43. Hopo to Prosper Lodge, Sawyers' Bay. 44. Now River Pioneer Lodge, Dunganville. 45. Crystal Fountain Lodge, Waihola. 46. Pride of Mahono Lodge, Maheno. 47. Victory Lodge, No-Town. 48. Victoria Lodge, Noble's. 49. Grey Valley Lodge, Ahaura. 50. Kumara Lodge, Kaimara. 51. New Life Lodge, Duvauchelle's Bay. 52. Northern Star Lodge, Kaiapoi. 53. Rock of Freedom Lodge, Ashley Bank. 54. Hearts and Homes Lodge, Orepuki. 55. Unity. Lodge, Macetown. 56. Salem Lodge, Swannanoa. 57. Dawn of Peace Lodge, Ashburton. 58. Star of Sefton Lodge, Softon. 59. True Blue Lodge, Waitahuna. 60. Advance Lodge, Cust. Gl. Eaglo Lodge, Dillman's Town. 62. Hopo of Highcliffe Lodge, Highclifie. 63. Hope of Leeston Lodge, Leeston. 64. Hopo of Springfield Lodge, Springfield. 65. Clcarbrook Lodge, Waterton. 66. St. Helena Lodge, Greymouth. 67. Pride of Sydenham Lodge, Sydenham. 68. Phoenix Lodge, Masterton. 69. North Star Lodge, Kaikoura. 70. Will and the Way Lodge, Tinwald. 71. Rising Sun Lodge, View Hill. 72. Pride of Brookside Lodge, Brookside. . 73. Mount Fyfo Lodge, Mount Fyfe. 74. Olive Branch Lodge, Wellington. 75. Hopo of Little Akaloa Lodge, Little Akaloa.

Beg. No. 76. Hearts and Hands Lodge, Lumsden. 77. Pride of Mount Groy Lodge, Mount Grey. 78. St. Dunstan Lodge, Clyde. 79. Determination Lodge, Dunsandel. 80. Hope of Stoke Lodge, Stoke. 81. Princess Alice Lodge, Waikaia. 82. Norden's Haab Lodge, Napier. 83. Star of North Invereargill Lodge, Invereargill. 84. Hope of Pernside Lodge, Pernside. 85. Southern Cross Lodge, Invereargill. 86. Guiding Star Lodge, Dunedin. 87. Palmerston Lodge, Palmerston. 88. Hope of Mornington Lodge, Mornington. 89. Akaroa Hope Lodge, Akaroa. 90. Saered Stream Lodge, Taitapu. 91. Undaunted Lodge, Owake. 92. St. Andrew's Lodge, Christchurch. 93. Welcome Retreat Lodge, Geraldine. 94. Loyal Marino Lodge, Nelson. 90. St. John's Lodge, Wellington. 97. Homo of Peace Lodge, Totara Plat. 98. Star of the Forest Lodge, One-Treo Point. 99. Southern Star Lodge, Wanganui. 100. Crystal Spring Lodge, Blenheim. 101. Star of Patoa Lodge, Patoa. 103. Safe Retreat Lodge, Ashburton. 104. Lily of the Valley Lodge, North Dunedin. 105. Hope of Gore Lodge, Gore. 106. Bushman's Pride Lodge, Alford Forest. 107. Hope of Wakefield Lodge, Wakefield. 108. Pride of Dunedin Lodge, Dunedin. 109. Hope of Hilton Lodge, Hilton. 95. Union of Otago Temple, Dunedin. 102. Unity Degree Temple, Ashburton. 185. Invereargili Total Abstinence Society, Invereargill,

SCHEDULE 111. Foem of Experience Caed. manchesteb unity independent obdeb of odd fellows.

Name, of District: Name of Lodge:

Name: Occupation : Mode of admission (whether by initiation, reinstatement, or clearance) : If by clearance, state where from : Was member married or single at time of admission? _ If married, is wife registered so that lodge will be liable for a funeral benefit in the event of her death ?

EXPERIENCE OF SICKNESS. From years of age to years of age.

Of Member. Of Wife. Date of birth Date of admission ... _18 at admission (last birthday) Date of exit Itlode of exit !f by clearance, state where to 3ause of death

Year in which Sickness occurred. Period for wl was all dch Sick-pay [owed. Bate of Paymi ait por Week. Weeks. Days. Shillings. Ponce.